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Accident Reportage OF CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS DIVISION OF OCCUPATIONAL SAFETY AND HEALTH(FOR AFTER HOURS USE) DateFatality1. Reporting ID3. Event Number (Identifies this Report)9506
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How to fill out report a work-related accident

01
Gather all necessary information about the accident, including date, time, location, and individuals involved.
02
Fill out a formal incident report form provided by your employer.
03
Include detailed information about the nature of the accident, injuries sustained, and any contributing factors.
04
Submit the completed report to your supervisor or the designated human resources department.
05
Follow up with any additional documentation or information requested by the company or insurance provider.

Who needs report a work-related accident?

01
Employees who have been involved in a work-related accident.
02
Employers who are required to report workplace incidents to comply with legal regulations.
03
Insurance providers who need accurate information to process claims related to work-related accidents.
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A report of a work-related accident is a formal documentation of an incident that occurred at the workplace resulting in injury or illness.
Employers are required to file a report of a work-related accident.
The report of a work-related accident can be filled out by providing details of the incident, including date, time, location, individuals involved, and nature of the injury or illness.
The purpose of the report of a work-related accident is to document the incident, investigate the cause, and prevent similar accidents in the future.
The report of a work-related accident must include details such as date, time, location, individuals involved, nature of injury or illness, and any contributing factors.
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